Healthcare Provider Details

I. General information

NPI: 1992524797
Provider Name (Legal Business Name): KAI HOAGLAND
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/08/2024
Last Update Date: 10/08/2024
Certification Date: 10/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1245 N 29TH ST
BILLINGS MT
59101-0122
US

IV. Provider business mailing address

1245 N 29TH ST
BILLINGS MT
59101-0122
US

V. Phone/Fax

Practice location:
  • Phone: 406-839-2437
  • Fax: 406-238-3679
Mailing address:
  • Phone: 406-839-2437
  • Fax: 406-238-3679

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number59068
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: